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Alaska

AK - Regulation - Telemedicine/Telehealth Definition

“Telemedicine means the practice of health care delivery, evaluation, diagnosis, consultation, or treatment, using the transfer of medical data through audio, video, or data communications that are engaged in over two or more locations between providers who are physically separated from the patient or from each other.”

Source: AK Admin. Code, Title 7, 12.449.

AK Medicaid Program Telemedicine/Telehealth Definition

“Alaska Medicaid will pay for telemedicine services delivered in the following manner:

Interactive method: Provider and patient interact in ‘real time’ using video/camera and/or dedicated audio conference equipment.
Store-and-forward method: The provider sends digital images, sounds, or previously recorded video to a consulting provider at a different location. The consulting provider reviews the information and reports back his or her analysis.
Self-monitoring method: The patient is monitored in his or her home via a telemedicine application, with the provider indirectly involved from another location.”

Source: State of AK Dept. of Health and Social Svcs., Alaska Medical Assistance Provider Billing Manuals for Ambulatory Surgical Care Facility, Early and Periodic Screening, Diagnosis, and Treatment, Hospice Care, Inpatient Psychiatric Services, Independent Laboratory Services, Appendices. (Accessed Jan. 2014).
AK Regulation Live Video Reimbursement

Alaska’s Medicaid program will reimburse for services “provided through the use of camera, video, or dedicated audio conference equipment on a real-time basis”

Eligible services:

Initial or follow up office visits;
Consultation made to confirm diagnosis
A diagnostic, therapeutic or interpretive service
Psychiatric or substance abuse assessments;
Individual psychotherapy or pharmacological management services.

Source: AK Admin. Code, Title 7, 110.625 & AK Admin. Code, Title 7, 110.630.

No reimbursement for:

Home and community-based waiver services;
Pharmacy;
Durable medical equipment;
Transportation;
Accomodation services;
End-stage renal disease;
Direct-entry midwife;
Private duty nursing;
Personal care assistants;
Visual care, dispensing or optician services;
Technological equipment and systems associated with telemedicine application.

Source: AK Admin. Code, Title 7, 110.635.



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AK Medicaid Program Live Video Reimbursement

Alaska Medicaid will pay for a covered medical service furnished through telemedicine application if the service is:

Covered under traditional, non-telemedicine methods;
Provided by a treating, consulting, presenting or referring provider;
Appropriate for provision via telemedicine

Eligible services:

Initial or one follow-up office visit;
Consultation made to confirm diagnosis
A diagnostic, therapeutic or interpretive service
Psychiatric or substance abuse assessments;
Individual psychotherapy or pharmacological management services.

Source: AK Dept of Health and Social Svcs., AK Medical Assistance Provider Billing Manuals, Section1: Physician, Advance Nurse Practitioner, Physician Assistant: Services, Policies and Procedures (accessed Jan. 2014).

No reimbursement for:

Home and community-based waiver services;
Pharmacy;
Durable medical equipment;
Transportation;
Accommodation services;
End-stage renal disease;
Direct-entry midwife;
Private duty nursing;
Personal care assistants;
Visual care, dispensing or optician services;
Technological equipment and systems associated with telemedicine application

Source: AK Dept of Health and Social Svcs., AK Alaska Medical Assistance Provider Billing Manual, Section1: Physician, Advance Nurse Practitioner, Physician Assistant: Services, Policies and Procedures, (Accessed Jan. 2014).
AK Regulation Store and Forward Reimbursement

Alaska Medicaid requires to be eligible for payment under store-and-forward the service must be “provided through the transference of digital images, sounds, or previously recorded video from one location to another to allow a consulting provider to obtain information, analyze it, and report back to the referring provider.”

Source: AK Admin. Code, Title 7, 110.625(a).

AK Medicaid Program Store and Forward Reimbursement

Alaska Medicaid will reimburse for services delivered through store-and-forward.

Source: AK Dept. of Health and Social Svcs., AK Medical Assistance Provider Billing Manuals, Section1: Physician, Advance Nurse Practitioner, Physician Assistant: Services, Policies and Procedures, (accessed Jan 2014).

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